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Organization
ORTHOPEDIC & SPINE THERAPY OF OSHKOSH SC
Active
Organization
ORTHOPEDIC & SPINE THERAPY OF OSHKOSH SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA WALBRUN (CREDENTIALING SPECIALIST)
(920) 257-2000
Entity
Organization
Contact information
Practice address
515 S WASHBURN ST STE 100, OSHKOSH, WI 54904-7951
(920) 232-4040
(920) 232-4042
Mailing address
1000 MIDWAY RD, MENASHA, WI 54952-1116
(920) 257-2000
(920) 257-2004
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
128848
HEALTH PARTNERS
WI
01
—
369949305
US DEPARTMENT OF LABOR
WI
05
—
40416700
—
WI
01
—
4136293002
AMERICHOICE
WI
05
—
41745300
—
WI
01
—
CH3433
RAILROAD MEDICARE
WI
Enumeration date
08/24/2006
Last updated
06/13/2025
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